CHOICES SEXUAL HEALTH team of specialised doctors and nurses are highly skilled in the field of reproductive and sexual health. We are passionate about providing a service to those who visit us in our clinic on Sydney’s lower North Shore with no referral required.

1. What is erectile dysfunction?
ED is defined as “the inability to achieve or sustain an erection sufficient for intercourse and the satisfaction of both partners”. ED is not low libido, problems with ejaculation or difficulty reaching orgasm. However these problems may occur in conjunction with ED. Occasional inability to get an erection can be normal and related to factors such as alcohol, lack of sleep and anxiety.

2. There are many factors and causes for erectile dysfunction
Many factors can contribute to being unable to get or maintain an erection. It is usually a combination of factors. Causes for ED are social factors, lifestyle factors and/or medical factors. Factors such as smoking, alcohol intake, recreational drug use, age, stress, relationships and obesity can contribute to ED. Medical conditions that can cause ED include penile disorders, cardiovascular disease, neurological disease, psychological disorders, endocrine disorders and some medications and chronic disease. Undiagnosed vascular disease is the leading cause for ED.

3. You are not alone
ED is a very common problems and increases with age. The Masachusetts Male Aging study found that ED occurred in 52% men aged between 40 and 70. An Australian study has found in men aged 18 years and older, 40 % reported some degree of ED and complete ED occurred in 18.6% of men.

4. Diagnosis is easier than many men think
Men with ED should see their local doctor whether or not they wish to have sex and get erections. This is because ED may be a symptom of an underlying medical condition such as vascular disease or diabetes. A visit to your doctor who will conduct a comprehensive history and examination can usually reveal a cause for your ED. Minimal investigations are usually required however your local Doctor may order some blood tests if you have not have some done recently.

5. Treatments are available and sex life can be normal again
There is often not a cure for ED (sometimes called male impotence) but there is a lot of info and help available, including many treatment options that will allow you to have an erection and enjoyable sex life. Treatments range from the less invasive such as tablets to more invasive such as injections, vacuum devices or surgery. Your doctor will be able to find a treatment that is suitable for you. Psychosexual counseling is widely available in Sydney and any of the doctors at Gynaecare and Choices Sexual Health Clinic will be able to refer you, enabling you to claim a Medicare rebate for most of the fees.